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AAPC CPB Exam Syllabus Topics:

Section	Objectives
Topic 1: Coding and Claim Submission Basics	- Use of modifiers and coding compliance - ICD-10-CM, CPT, and HCPCS overview - Claims submission processes
Topic 2: Compliance and Regulations	- HIPAA and patient privacy rules - Billing compliance standards - Fraud and abuse prevention
Topic 3: Medical Billing Fundamentals	- Healthcare reimbursement systems - Insurance types and payer structures - Medical billing workflow and revenue cycle
Topic 4: Revenue Cycle Management	- Accounts receivable follow-up - Claims denial and rejection management - Payment posting and reconciliation
Topic 5: Insurance Processing and Payer Rules	- Private insurance policies and contracts - Coordination of benefits (COB) - Medicare and Medicaid guidelines

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AAPC Certified Professional Biller (CPB) Sample Questions (Q140-Q145):

NEW QUESTION # 140
CMP

A. UB04 Claim used by institutional and other selected providers to
B. Centers of Medicare and Medicaid Services
C. Competitive Medical Plan
D. Insurance claim used by noninstitutional providers and supplier to bill payers

Answer: C

NEW QUESTION # 141
Which professional association was founded to improve the quality of medical records and current advances toward an electronic and global environment including the implementation of ICD10CM

A. American Academy of Professional Coders (AAPC)
B. American Health Information Management Association (AHIMA)
C. An association of independent Blue Cross Blue Shield plans
D. Joint venture between Blue Cross and Blue shield where the corporations shared one building and computer services but maintained separate corporate identities

Answer: B

NEW QUESTION # 142
Billing entity is the legal business name of the provider's practice.

A. FALSE
B. TRUE

Answer: B

NEW QUESTION # 143
Which part of the body do gaster and gastr refer to?

A. intestine
B. genitals
C. tongue
D. stomach

Answer: D

NEW QUESTION # 144
HIPPS stands for Health Insurance Prospective Payment System (code set).

A. FALSE
B. TRUE

Answer: B

NEW QUESTION # 145
......

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